2005-067 (Wall) Woodhaven Kitchen Designs Showroom TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050067 Application Number: A20050067
Tax Map No: 523400-302-007-0001-012-000-0000
Permission is hereby granted to: WOODHAVFN KITC'HFN DESIGNS
For property located at: 118 QUAKER Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: QUEENSBURY QUAKER, L.L.C.
90 STATE St Suite 1411 Sign
Total Value
ALBANY, NY 12207-0000
Contractor or Builders Name /Address Electrical Inspection Agency
Plans&Specifications
2005-067 WOODHAVEN KITCHEN DESIGNS
36 SQ FT WALL SIGN
Quaker Plaza, Space No. 3
$72.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(if a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town f Queensb W dtiesday, March 09, 2005
SIGNED BY for the Town of Queensbury.
Director of Building ode forcemeat
TOWN OF QUEENSBURY Fee Paid:
Bay at Havrfand Road, Ck~sbury, NY 12804-9725-518-792-5832 Approved By:
Permit #: �Q
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign. ,-
3. Written consent of the owner of the building or land.
x OWNER OF PROPERTY ` ae drQr- L LL
ADDRESS — Z `ka—r ,S Y /Y l 1 Tp
NAME OF APPLICANT ` (�e)d0 /gl1QrJ C` ,�J L.3i�'��
ADDRESS f i g ouaraf 1Zd f TEL.
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing Permanent _ Projecting Sign
Temporary Non-conforming xisting
Free-Standing Wall New
Location: Tax Map Number =36�- - / -102- w'/3
Address
"tell,
Proposed Setbacks from Property Line (front) ly A (side) Al b
If sign is to be illumi ted, please check appropriate box:
Internal , External ( ), Incadescent ( ), Neon ( ), Other ( ) '
Size of Sign: Width ft. Length j �-� ft. C17Z� p����rt
Total Square Footage: _
Sign Copy: _Sty
Color and Material To Be' Used: ,d,�/ A«s of 7_Oi-AAlfG6Ie 6r vl"/YC. Y-4
ysi gnatur
Circle One Applicaowner, contractor or agent.
---
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Own
i'
ORIGINAL-Office Copy 0 - ,
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